{"id":42850,"date":"2018-03-09T09:44:57","date_gmt":"2018-03-09T09:44:57","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/consumo-energetico-y-utilizacion-de-sustratos-en-el-paciente-pediatrico-cra%c2%adticamente-enfermo\/"},"modified":"2018-03-09T09:44:57","modified_gmt":"2018-03-09T09:44:57","slug":"consumo-energetico-y-utilizacion-de-sustratos-en-el-paciente-pediatrico-cra%c2%adticamente-enfermo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/consumo-energetico-y-utilizacion-de-sustratos-en-el-paciente-pediatrico-cra%c2%adticamente-enfermo\/","title":{"rendered":"Consumo energ\u00e9tico y utilizaci\u00f3n de sustratos en el paciente pedi\u00e1trico cr\u00edticamente enfermo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Paloma Dorao Martinez-romillo <\/strong><\/h2>\n<p>Hemos cuantificado el consumo energ\u00e9tico (ce) mediante calorimetr\u00eda indirecta en 73 ni\u00f1os, con edades entre 1 mes y 19 a\u00f1os, con patolog\u00edas quir\u00fargicas (trasplante hep\u00e1tico y cirug\u00eda card\u00edaca) y m\u00e9dicas ingresados en 82 ocasiones en cuidados intensivos pedi\u00e1tricos, realizando un seguimiento estructurado en 6 estudios metab\u00f3licos, desde la situaci\u00f3n preoperatoria hasta el 7 dia de ingreso.  tras una agresi\u00f3n, el ce y el consumo de ox\u00edgeno de los ni\u00f1os cr\u00edticamente enfermos, permanece elevado durante las primeras 24 horas, se objetiva adem\u00e1s una hiperglucemia y una eliminaci\u00f3n de nitr\u00f3geno elevada, que se mantiene durante todo el seguimiento. Esta respuesta a la agresi\u00f3n no se correlaciona con la gravedad de la enfermedad, depende de la patolog\u00eda de base, y no se modifica por el estado nutricional de los pacientes.  el ce en el ni\u00f1o grave es multifactorial, y est\u00e1 determinado por el peso, la edad, la patolog\u00eda de base, el estado nutricional. hemos estudiado diferentes factores que modifican el gasto metab\u00f3lico, como la presencia de insuficiencia card\u00edaca, fracaso del injerto y rechazo, tipo de ventilaci\u00f3n asistida y medicaci\u00f3n inotr\u00f3pica o sedante.  la eliminaci\u00f3n de nitr\u00f3geno en el ni\u00f1o grave se correlaciona con el consumo energ\u00e9tico y el mejor balance nitrogenado se relaciona con un menor deficit carl\u00f3rico. en el estudio de la oxidaci\u00f3n de sustratos destaca una desviaci\u00f3n hacia la neoglucog\u00e9nesis y lopolisis en los ni\u00f1os cardi\u00f3patas y una elevada oxiadaci\u00f3n proteica en todos los pacientes.  para la estimaci\u00f3n del ce en el paciente pedi\u00e1trico grave, valoramos 4 ecuaciones antropom\u00e9tricas. Aunque todas ellas presentan una buena correlaci\u00f3n con el ce medido, objetivamos diferencias significativas entre los valores estimados y medidos. Mediante un estudio multivariante, hemos mejorado la predicci\u00f3n del ce mediante las ecuaciones antropom\u00e9tricas, introduciendo los factores<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Consumo energ\u00e9tico y utilizaci\u00f3n de sustratos en el paciente pedi\u00e1trico cr\u00edticamente enfermo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Consumo energ\u00e9tico y utilizaci\u00f3n de sustratos en el paciente pedi\u00e1trico cr\u00edticamente enfermo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Paloma Dorao Martinez-romillo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/04\/1999<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Francisco Ruza Tarrio<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Hern\u00e1ndez rodr\u00edguez <\/li>\n<li>isabel Polanco allue (vocal)<\/li>\n<li>Fernando Mar molinero (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Martinon sanchez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Paloma Dorao Martinez-romillo Hemos cuantificado el consumo energ\u00e9tico (ce) mediante calorimetr\u00eda indirecta en 73 ni\u00f1os, con edades [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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